Recovery Audit Contractor (RAC) | Permanent, Full-Time
Springfield, Illinois
Employer: Hospital Sisters Health System
Industry: Finance
Salary: Competitive
Job type: Part-Time
Summary
Coordinator-Recovery Audit Contractor (RAC) coordinates all activities associated with the chart audits and status tracking for RAC, Department of Health and Human Services (DHHS), and Managed Care governmental audits related to denial issues. Identifies risks and trends, facilitating cross-departmental tactical actions.
Qualifications
Education
Bachelor's degree in health care, business, health information management, nursing or related is required.
High school diploma or equivalent plus 5 years of experience with RAC and other governmental audits may be considered in lieu of a Bachelor's degree.
Experience
3 years of experience with RAC and other governmental audits, or denials, coding, billing, or documentation auditing in a hospital, outpatient clinical setting or physician's office is required. Experience with CMS regulations, billing compliance; Medicare, Medicaid, or other third-party payer reimbursement methodologies is required.
Certifications, Licenses and Registrations
Certified as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) is preferred.
Licensed Practical Nurse/Registered Nurse is preferred.
Physical Requirements: Administrative
Overview
Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.
Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.
Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.
HSHS requires COVID-19 vaccines or an approved medical or religious exemption for all colleagues.
HSHS and affiliates is an Equal Opportunity Employer (EOE).
HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.
Coordinator-Recovery Audit Contractor (RAC) coordinates all activities associated with the chart audits and status tracking for RAC, Department of Health and Human Services (DHHS), and Managed Care governmental audits related to denial issues. Identifies risks and trends, facilitating cross-departmental tactical actions.
Qualifications
Education
Bachelor's degree in health care, business, health information management, nursing or related is required.
High school diploma or equivalent plus 5 years of experience with RAC and other governmental audits may be considered in lieu of a Bachelor's degree.
Experience
3 years of experience with RAC and other governmental audits, or denials, coding, billing, or documentation auditing in a hospital, outpatient clinical setting or physician's office is required. Experience with CMS regulations, billing compliance; Medicare, Medicaid, or other third-party payer reimbursement methodologies is required.
Certifications, Licenses and Registrations
Certified as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) is preferred.
Licensed Practical Nurse/Registered Nurse is preferred.
Physical Requirements: Administrative
Overview
Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.
Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.
Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.
HSHS requires COVID-19 vaccines or an approved medical or religious exemption for all colleagues.
HSHS and affiliates is an Equal Opportunity Employer (EOE).
HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.
Created: 2024-07-07
Reference: 63119
Country: United States
State: Illinois
City: Springfield
ZIP: 62711